Evidence map›Paper›PMID 37817061›Full record

SynthesisBMC geriatrics2023

A systematic review of prevalence of pain in nursing home residents with dementia.

Anne-S Helvik, Sverre Bergh, Kjerstin Tevik

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC geriatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
10.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Nurses' Pain Management Competency in Nursing Home Residents With Dementia.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2026
    Article
  4. Article
  5. Article
  6. Nursing Home Profit Status and Pain Among Residents Living With Dementia.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2026
    Article
  7. Article
  8. Review
  9. Non-Verbal Communication in Nursing Home Settings.Healthcare (Basel, Switzerland) · 2026
    Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Assessing and Managing Pain in Dementias: Insights From Interdisciplinary Text Message Communications.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2025
    Article
  16. Neuropathic Pain in Nursing Homes.European journal of pain (London, England) · 2025
    Article
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Anne-S HelvikDepartment of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway. anne-sofie.helvik@ntnu.no.
Sverre BerghNorwegian National Centre for Ageing and Health, Vestfold Hospital Trust, Tønsberg, Norway.
Kjerstin TevikDepartment of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.
Norwegian University of Science and Technology · NOInnlandet Hospital Trust · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prevalence of dementia in nursing home (NH) residents is high, and pain is a troublesome symptom for them. Several studies since 2010 have focused on pain in NH residents with dementia, but there is a lack of systematic reviews on the prevalence of pain in NH residents with dementia.

aimTo systematically review observational studies published from 2010 to 2023 on how pain is assessed and prevalence of pain found in NH residents with dementia.

methodsA systematic search was conducted in the MEDLINE, PubMed, PsycINFO, Embase, CINAHL, AgeLine, and Cochrane databases for studies published from January 2010 to August 2023. Studies were included if they were observational studies with a quantitative design where self-report, staff assessment, and/or chart review were used to define the prevalence of pain in samples or subsamples of NH residents with dementia.

resultsOf 184 studies considered, 25 were included. The studies assessed pain as daily, present, clinically relevant, chronic, intermittent, persistent pain and/or if pain affected quality of life. The prevalence of pain was high in most studies of NH residents with dementia independent of whether pain was reported as presence of pain or clinically relevant pain, but the prevalence varied from 8.6% to 79.6%. This prevalence was quite stable across the NH stay, but higher towards the end of life (up to 80.4%). Study designs and methodologies differed considerably. About half relied on an observational assessment inventory.

conclusionThe number of studies focusing on pain in NH residents with dementia was restricted and methodologies differed considerably. Relatively few studies used an observational assessment inventory. In view of the fact that residents with dementia may have difficulties communicating pain, clinicians should pay attention to pain in these residents, systematically and reliably uncover pain by use of observational inventories, and subsequently treat pain to secure high quality care.

Indexed as

DementiaNursing HomesHumansObservational Studies as TopicPainPrevalenceQuality of LifeBehavioral assessmentCare homesDaily painEnd of lifeLong-term care facilitiesNursing homePersistent painPresence of painResidential aged care settings

Identifiers

PMID37817061
PMCPMC10566134
OpenAlexW4387503958

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.